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ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Deadline for Acceptance: November 1, 2017 Event Title: Oklahoma Farm Bureau Annual Convention Speech Date: Is the Above Date Flexible: Friday, November 10, 2017 No Speech Time & Duration: 1:30pm (20min) Speaker Requested: Administrator Scott Pruitt Would You Consider a Surrogate: No Event Location: Embassy Suites Hotel & Conference Center 2501 Conference Drive, Norman, OK 405-364-8040 Ballrooms E - F Open Press/Closed Press: TBD Is Event Webcast/Recorded/Transcribed: Purpose of the Event: Recorded by production company - PDC 75th Anniversary -Annual Convention Speech Topic: Requested Presentation Format: Keynote Dress Code: Business Speech/Presentation Duration: 20 minutes Teleprompter Available: Yes Microphone/ Room Setup: Room is set up theatre style/any type ofmic. Event Sponsor: Relationship to the EPA: Event Agenda/Program: Begins on Friday, November 10th - 1:30pm general session Convention concludes on Sunday, November 12th Honorable Guests Attending: Notable Federal, State or Local Appointed or Elected officials attending: Individual Introducing Administrator: Lt. Governor Todd Lamb, Pres. CEO Noble Research Foundation Bill Buckner OFB President, Tom Buchanan Page 1 of 2 17cv01906 Sierra Club v. EPA ED_001523B_00001017-00001 ADMINISTRATOR PRUITT SPEAKER REQUEST FORM U.S. Environmental Protection Agency Person to contact for speechwriting purposes: Jane Anderson janderson@pdcproduction.com 405-360-5130 Person to contact for media purposes: Dustin Mielke dustimnielke@okfb.org 405-530-2640 Origin of Invitation: Day of Event Point of Contact: Security Contact: Melisa Neal melisaneal@okfb.org 405-523-2475 405-343-9418 Bobby Krag bobby.krag@okfb.com 405-523-2338 Is the organization or host of the event a registered 501(c)(3), (4), or has a 527 Political Action Committee (PAC): _ _ _ _ _501(c)3 _ _ _ _ _ _ _ _ _ _ __ Will there be a presentation of a "gift"the Administrator? Yes, Oklahoma Nut basket _ _ _ __ If so, what is the US currency value of the gift? _ _ _ _ _ _ _ _ _ _50.00_ _ _ _ _ _ _ _ _ _ _ _ _ __ Will a meal be provided, if so what is the US currency value? _ _ _ _ _ _ _no_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ 17cv01906 Sierra Club v. EPA Page 2of 2 ED_001523B_00001017-00002